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    Altegra Health

    Healthcare Data Analytics

    Bilingual (Spanish) Customer Service Rep

    Weston, United StatesOn-SiteFull-timePosted 1mo ago
    All Altegra Health jobs

    Job description

    We offer a full-time position as a Member Services/Sr. Customer Service Rep at our Weston,
    Florida office. The position reports to the Advocate Supervisor in the Member
    Services division. Our Sr. Customer Service Reps are professionals who interact with health plan members through outbound and inbound telephonic contact to complete various intake services.

    RESPONSIBILITIES:

    • Interact with health plan members through outbound and inbound telephonic contact to review and assess health plan member’s eligibility for services.

    • Achieve individual growth and production goals.

    • Contribute to the department’s success by succeeding at departmental and quality metrics.

    • Review correspondences and/or inquiries from the health plan members to determine needs and fast track highly qualified cases.

    • Acknowledge, follow-up, and close out correspondence and/or inquiries as assigned.

    • Stay informed with current knowledge of state and federal regulatory requirements.

    • Comply with all company and department operational guidelines and policies.

    • Participate in Altegra Health staff and operational development programs as assigned.

      • Business demeanor and skills with the ability to communicate effectively (verbal, written and listening skills).

      • Ability to successfully market, sell, and promote company services in an outbound call center (production driven) environment.

      • Professional behavior with courteous, polite and energetic qualities.

      • High commitment to accuracy, high quality work, and detail-oriented.

      • Must be driven and motivated to exceed individual and team goals.

      • Able to learn and adapt to changing environments, applications and software.

      • Experience with the health care industry. Prefer general knowledge of Medicare,

      • Medicaid, and Managed Care.

      • Knowledge of MS Word, Excel and
        PowerPoint.

      • Bilingual is a plus
        (English/Spanish).

    • MUST BE ABLE TO WORK Monday - Friday in one of the following shifts: 11am - 8pm

    INSPIRING A BETTER HEALTHCARE SYSTEM

    Change Healthcare is one of the largest, independent healthcare technology companies in the United States. We are a key catalyst of a value-based healthcare system – working alongside our customers and partners to accelerate the journey towards improved lives and healthier communities.

    We provide software and analytics, network solutions and technology-enabled services that help our customers obtain actionable insights, exchange mission-critical information, control costs, optimize revenue opportunities, increase cash flow and effectively navigate the shift to value-based healthcare. Our solutions enable improved efficiencies and insights for all major stakeholders across the healthcare system, including commercial and governmental payers, employers, hospitals, physicians and other providers, laboratories and consumers.

    Job details are sourced from the employer's original posting.

    Open job posting
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    About the company

    Altegra Health

    Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more

    View all Altegra Health jobs
    Industry
    Healthcare Data Analytics
    Open roles
    13

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